E101

PDF page 104 / GP90

Definition/Required elements of service:
E101B is a time-based service limited to one surgical case per physician per day payable for standby
as a surgical assistant following a minimum of 30 minutes of unforeseen delay beyond the scheduled
start time for surgery. The physician must be physically present in the operating room suite for the
period between the scheduled and actual surgical start time.

PDF page 105 / GP91

E101B time units are calculated for each 15 minutes or part thereof. The unit value of each 15 minute
period or part thereof is:
               During the first hour or less.....................................................        1 unit
               After the first hour up to and including the first 1.75 hours .....                       2 units
               After 1.75 hours ......................................................................   3 units
Payment rules:
  1. For calculation of time units, the start time for this service commences 30 minutes after the
     scheduled surgical start time and ends when the surgery actually commences as recorded in
     the hospital’s operating suite records. There are no basic units.
    2. E101B is not eligible for payment if during the standby time for which E101B would otherwise
       be eligible for payment, other insured services are rendered for which payment is made by
       OHIP.

PDF page 105 / GP91

Claims submission instruction::
  1. Claims for surgical assistant standby are to be submitted using E101B.
    2. Following standby, when the scheduled surgery commences, claims for assisting at surgery are
       to be submitted using the suffix “B”, with the procedural code. The unit value of each 15 minute
       period or part thereof recommences as follows:
               During the first hour or less.....................................................        1 unit
               After the first hour up to and including the first 1.75 hours .....                       2 units
               After 1.75 hours ......................................................................   3 units
          [Commentary:
          1.E101B is payable with after hours premiums.
          2.Following standby, when the scheduled surgery commences, submit a separate claim for
            assisting, this should not be claimed using E101B. Time calculations are separate from
            surgical assistant standby and not a continuation of E101B. Submit both claims using the
            manual review indicator and include documentation to support the start and stop times
            claimed as the period of standby, such as a copy of the medical record or an explanatory
            letter.]

Master, record 931. Record Layout PDF, page 1.

E10120260401999999990000000000000000129100000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.